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NPI Code Detail

MEDICARE: JOSEPH MURRAY CRNA

MEDICARE:   JOSEPH  MURRAY  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN203806LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
352073OTHERPAGEISINGER HEALTH PLAN

General Provider Information

NPI Number : 1477521649
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH MURRAY CRNA
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number : 570-271-6578
Provider Business Practice Location Address
First Line : 10 CHOATE CIR
Second Line :
City : MONTOURSVILLE
State : PA
Zip : 17754-9791
Country : US
Telephone Number : 570-271-6144
Fax Number : 570-271-6578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 02/27/2019

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